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Summary of Contents for Hellenbrand Hill-Rom Evolution LI156E Series
- Page 1 User manual Evolution™ LI156Ex QD1532A Rev002...
- Page 2 Information contained in this manual is subject to modification without notice and implies no obligation on the part of Hill-Rom . No part of this publication ® may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, other than for the user’s personal use, without the prior written permission of Hill-Rom ®...
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Page 3: Table Of Contents
USER MANUAL USE OF EVOLUTION LI156Ex BEDS The EVOLUTION line of hospital beds includes acute care beds (with mandatory Reverse Trendelenburg tilting) and general-purpose variable height hospital beds for general care, for use in intensive or post- operative care, in ICUs and General Medicine Wards. They can be used both for intensive and non-intensive care and with the highly elaborate techniques developed in special medical units. - Page 4 USER MANUAL 4.18 LOCKOUT SWITCHES PROTECTION ACCESSORIES PATIENT HELPERS VARIABLE HEIGHT I.V. POLE END-BOARD FRAMES (AC930A) BED EXTENSION PANEL (AC992A) EQUIPOTENTIAL CABLE (AC968A) HEADBOARD TRAY (AD083A) HAND PENDANT CONTROL (AD091A) BILATERAL VARIABLE HEIGHT FOOT PEDAL (AD090A) HAND PENDANT CONTROL SOCKET (AD089A) 5.10 SIDERAIL PROTECTIVE COVER (AD113A) 5.11 OXYGEN CYLINDER HOLDER (AC959A-AD101A-AD102A)
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Page 5: Introducing Your Model
USER MANUAL 0. INTRODUCING YOUR MODEL Version LI156Ex Sleep surface dimensions 90 x 200 cm Frame Laminated Hard surface Electrical function lock-out Adjustable bed-height Adjustable head Section Head Section “CPR” Comfort adjustment Adjustable knee section Power-driven with Auto-contour Adjustable leg section Mechanical Integral siderails Central brake and steer system... - Page 6 USER MANUAL ACCESSORIES AC907A : Raised urine holder AC908A : 2 receptacle bottle holder AC923A : Label holder AC930A : Removable frame AC932A : 3P 1L pivoting stainless steel bottle holder AC938A : 3P 1L pivoting stainless steel bottle holder AC953A : Chrome-plated I.V.
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Page 7: Symbols
USER MANUAL 1. SYMBOLS GENERAL SYMBOLS Safety instructions: DO NOT BIN DO NOT PLACE ANYTHING Please read Follow recycling on this surface carefully procedure Safety earth Equipotential terminal Class II device Type B equipment Direct current Alternating current Evolution™ Electric Bed LI156Ex QD1532A(2) -
Page 8: Function Symbols
USER MANUAL FUNCTION SYMBOLS 1.2.1 Manual controls The following labels located next to the relevant control identify manual operations. Adjustable Leg section Head Section “CPR” Trendelenburg/Reverse Trendelenburg (option) 1.2.2 Brake and steer controls STOP Steer Brake Neutral 1.2.3 Angle control 1.2.3.1 Bed without Bedside Cabinet Transport option Reverse Trendelenburg Head Section... - Page 9 USER MANUAL Patient controls Head Section adjustment Knee section adjustment Lock-out panels Electrical functions released Electrical functions locked out Variable Height bilateral pedal (optional) (accessory ref. AD098A) Down Hand pendant control (accessory ref. AD091A) Head Section adjustment – Auto- Knee Section adjustment contour Evolution™...
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Page 10: Overview
USER MANUAL 2. OVERVIEW Patient siderail Head Section Head Section half- Removable and Knee Section control length siderail. headboard Leg Section half-length siderail Integral bed I.V. pole and extension (*) patient helper sockets Trendelenburg/ Reverse Trendelenburg Nurse siderail control (*) controls: Variable Height, Head Section... -
Page 11: Installing The Bed
USER MANUAL 3. INSTALLING THE BED FIRST STEPS Before using the bed, it is essential to have a thorough understanding of this manual. It contains instructions for general use and maintenance and gives you the assurance of improved safety. Nursing staff must be informed of the risks encountered in the use of electric beds. -
Page 12: Instructions For Use
USER MANUAL 4. INSTRUCTIONS FOR USE SIDERAILS The siderails are part of the frame. They rotate into position by moving towards the head and foot of the bed in two stages (intermediate and fully raised). When the siderails are lowered, the width of the bed is reduced. When fully raised, the rails ensure patient protection and reduce the risk of falls. - Page 13 USER MANUAL Always ensure that there are no obstacles (patient’s limbs, objects, accessories, etc.) before raising or lowering a siderail. 4.1.1 Raising a siderail The siderails are located under the bed when not in use. To raise a siderail: Pull the rail out from under the bed until fully extended Rotate the rail upwards into the required position (intermediate or fully raised).
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Page 14: Electrical Functions
USER MANUAL ELECTRICAL FUNCTIONS The power-driven features of the bed are controlled by panels located on the inner and outer sides of the Head Section siderails (patient controls and nurse controls respectively), by a bilateral variable height foot pedal (optional) or by a hand-held unit (accessory). 4.2.1 Controls 4.2.1.1 Patient controls Patients can use the controls located... - Page 15 USER MANUAL 4.2.1.3 Control identification Controls are identified in several ways: By colour: Light green arrow: Up Dark green arrow: Down Light brown (background): Patient controls Beige (background): Nurse controls. By embossment: Raised arrows (only for upward movements and on the siderail controls).
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Page 16: Electrical Function Lock-Out
USER MANUAL ELECTRICAL FUNCTION LOCK-OUT See Safety – General precautions for use, section 7.1 The electrical function lock-out panel can be used to lock out or to release the three power-driven functions either singly or simultaneously. Once a function is locked out, it can no longer be operated using the siderail controls, variable height pedal or hand pendant control. -
Page 17: Sleep Surface
USER MANUAL SLEEP SURFACE 4.4.1 Power-driven variable height adjustment Sleep surface height can be adjusted using the nurse controls, the hand pendant control or the bilateral foot pedal (optional). Always ensure that there are no objects or children under the bed before operating the sleep surface height adjustment control. - Page 18 USER MANUAL 4.4.3 Trendelenburg/Reverse Trendelenburg (Optional) (mandatory for acute care) The sleep surface may be tilted towards the head of the bed (Trendelenburg tilt) or towards the foot of the bed (Reverse Trendelenburg tilt). Positions may be indexed and pegged. Maximum tilt can be obtained when the sleep surface is positioned within the limits found in the table on the next page.
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Page 19: Head Section
USER MANUAL Trendelenburg/Reverse Trendelenburg with or without power supply (mains or battery) Bed position: Bed position: low Bed position: high mid-height Power on Trendelenburg Raise bed to use Trendelenburg / Reverse Trendelenburg / / Reverse Trendelenburg Reverse Trendelenburg possible Trendelenburg possible tilting Power off... - Page 20 USER MANUAL Use the two handles located under the Head Section behind each symbol to operate the CPR release. To lower the Head Section: - Release the Head Section by pulling the CPR handle with one hand - Control the descent of the Head Section using your other hand as necessary NOTE: Due to the dampened motion and depending on the weight or position of the patient, it may be necessary to initially push down on...
- Page 21 USER MANUAL 4.5.3 Auto-contour The Auto-contour feature (automatic comfort level positioning) activated by using the patient or nurse controls (Head Section controls) or by the hand pendant controls (optional). The Auto-contour feature raises the Head Section and the Knee section simultaneously.
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Page 22: Knee Section
USER MANUAL KNEE SECTION 4.6.1 Electrical Knee section control Knee section inclination can be adjusted by using the patient or nurse controls or by the hand pendant controls. When the Knee section is raised, the Leg section is lowered at an angle of approximately -9°... - Page 23 USER MANUAL 4.6.2 Manual Leg section adjustment When the Knee section is raised, the Leg section can be pegged at several pre-defined angles: 1°, 9° (normal position), 15° and 22° from horizontal. To raise the Leg section: Use the pull-out handle on the end of the Leg section to raise required...
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Page 24: Brake And Steer System
USER MANUAL 4.7 BRAKE AND STEER SYSTEM 4.7.1 Using the brake and steer pedal Head The brake and steer pedal located at the foot chassis cover controls all four wheels. "BRAKE" position (beige pedal down): STOP the bed cannot be moved. Foot "NEUTRAL"... -
Page 25: Equipotential Terminal
USER MANUAL - Never try to move the bed by pulling on the power cord - It is advisable to remove the patient helper when transporting the bed and bedside cabinet through low doorways (< 2.4 m). Two people should move the bed (one at each end) in the following situations: - Moving the bed on a slope - Foot end steer wheel... -
Page 26: Securing The Power Cord
USER MANUAL SECURING THE POWER CORD The power cord must be secured to the bed whenever the bed is moved. PLEASE NOTE: Failure to do this may result in damage to the cable and create an electrical hazard. Push the headboard holder and the cord out of the way under the cross bar. When storing the headboard on the headboard holder when transporting a bedside cabinet on the bed, the power cord must be rolled up on the headboard holder before replacing the headboard. -
Page 27: Frame
USER MANUAL To improve patient access, pull out the two hooks and hook the end-board as shown in the picture below. Ensure that the power cord is not wound on one of the hooks. 4.11 FRAME The four sections of the bed can be removed for easy cleaning. Handle as shown in the picture and ensure that they are securely locked into place. -
Page 28: Restraining Strap Positions
USER MANUAL 4.12 RESTRAINING STRAP POSITIONS Restraining strap positions Knee Section When required, patient-restraining straps must be tied to the proper positions provided. Two positions are located on each bed section (Head Section, Knee Section and Leg Section) on either side of the bed. -
Page 29: Linen Holder (Optional)
USER MANUAL 4.14 LINEN HOLDER (optional) The EVOLUTION footboard can also be used as a linen holder. Safe Working Load: 15 kg To use the linen holder: - Hold footboard handles on both sides and pull upward - Tilt the board outwards and place horizontally. -
Page 30: Bedside Cabinet Transport (Optional)
USER MANUAL 4.17 BEDSIDE CABINET TRANSPORT (optional) The "Bedside Cabinet Transport" function can only transport bedside cabinets of the type NM1B or NM2B on the support rails integrated in the structure. CAUTION: When moving bed and its bedside cabinet, the electric functions of the bed must be locked out. -
Page 31: Lockout Switches Protection
USER MANUAL - Disconnect the main power cord and secure it on the bed as shown in section 4.9 - Fit the headboard between the bedside cabinet and the Head section or on the head supports - Lock out the electric functions of the bed before moving the bed and bedside cabinet to prevent any accidental handling that knocks the bedside cabinet against the structure of the bed. -
Page 32: Accessories
USER MANUAL 5. ACCESSORIES PATIENT HELPERS 5.1.1 Fixed patient helper Type AD080B Safe Working Load: 75 kg The patient helper can be fitted into either of the two square sockets at the head of the bed. Place the patient helper in the socket so that the Egress bar is over the bed. Correct position Incorrect position 5.1.2 Adjustable patient helper type AD081C... - Page 33 USER MANUAL 5.1.2.1 Patient helper positioning Tuck-away position Normal (Egress) Patient transfer position position Use the blue knob marked "TURN" to adjust patient helper position. To adjust patient helper position: Turn the blue knob a quarter turn clockwise to unlock the patient helper Place the patient helper in the required position...
- Page 34 USER MANUAL 5.1.3 Handle and patient helper storage The patient handle strap adjustment is limited by the pegs, A and B, on the patient helper in order to avoid any risk of slippage that could cause an injury to the patient.
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Page 35: Variable Height I.v. Pole
USER MANUAL VARIABLE HEIGHT I.V. POLE Safe working load: Refer to the value indicated on the I.V. pole Ensure that the I.V. pole is positioned facing into the bed and not outwards as shown in the following illustrations. 5.2.1 Using the I.V. Pole AD082A To lengthen the I.V. - Page 36 USER MANUAL 5.2.2 Using the I.V. Pole AD165A To raise the I.V. pole: Loosen the knob Hold the lower part of the pole with one hand and raise the upper part to the desired height Tighten the knob. To lower the I.V. pole: Loosen the knob Hold the upper part of the pole firmly and lift slightly while pressing upward on the...
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Page 37: End-Board Frames (Ac930A)
USER MANUAL END-BOARD FRAMES (AC930A) The frames fit into the sockets at the head and foot of the bed. To fit a frame: Unscrew the two black knobs from the frame Fit both ends of the frame into the sockets at the same time Fit the knobs through the under side of the socket and tighten. -
Page 38: Equipotential Cable (Ac968A)
USER MANUAL EQUIPOTENTIAL CABLE (AC968A) This cable is designed to connect intra-vascular or intracardiac equipment to the bed. It consists of two POAG-WB 6 DIN type connectors and a 2m long yellow and green cable. HEADBOARD TRAY (AD083A) Safe Working Load: 15 kg The tray can be used for small objects and clothes. -
Page 39: Hand Pendant Control (Ad091A)
USER MANUAL Small objects and clothes placed in the tray should not exceed the height of the tray. Ensure that the tray does not project out from under the bed. HAND PENDANT CONTROL (AD091A) The hand pendant control must be handled carefully. The hand pendant control is designed for use by patients who cannot reach the patient siderail controls. - Page 40 USER MANUAL 5.7.2 Use by nursing staff The hand pendant control works the same way as the siderail control panels. Head-section – Auto-contour: See sections 4.5.2 and 4.5.3 Knee section: See section 4.6.1 5.7.3 Use by the patient Nursing staff need to assess whether the patient should be left unattended with the hand pendant control.
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Page 41: Bilateral Variable Height Foot Pedal (Ad090A)
USER MANUAL 5.7.6 Disconnecting the control 1. Take hold of the plug 2. Pull the plug from the socket 3. Replace the socket cover A (section 5.7.1) and press home. Never pull on the control cord. Remember to replace the socket cover A. BILATERAL VARIABLE HEIGHT FOOT PEDAL (AD090A) See the accessory user leaflet for instructions on how to install. -
Page 42: Oxygen Cylinder Holder
USER MANUAL 5.11 OXYGEN CYLINDER HOLDER ( AC959A-AD101A- AD102A Safe Working Load: 15 Kg The oxygen cylinder holder is designed to accept an oxygen cylinder and must only be fitted on the patient helper supports at the head-end of the bed outside the sleep surface. -
Page 43: Accessory Holder
USER MANUAL 5.12 ACCESSORY HOLDER Adaptable I.V. hook AC953A I.V pole Monitor stand AC967A Patient helper Extension cushion AC992C Frame extension panel Certain accessories may be specific to certain bed models and cannot be used with other models. Due to the diversity of accessories/options, it is always advisable to ensure that they are mutually compatible: load, risk of bumps or collision. -
Page 44: Cleaning
USER MANUAL 6. CLEANING The bed has been designed for easy cleaning and optimised disinfecting. SAFETY RECOMMENDATIONS - Ensure that the bed will not move - Lock out all electrical functions - Disconnect the bed from the mains power supply - Ensure that all connections are firmly in place (hand pendant control, lock- out controls, power drives connected to main power supply unit) - Never pour water on the bed, use a high-pressure hose, or wash in a... -
Page 45: Cleaning And Disinfecting Recommendations
USER MANUAL The following products should not be used: chlorine, formaldehyde, or phenol-based products and solvents of any kind. Never use abrasives, cleaning powder or cleaning pads, which would damage components. 6.3 CLEANING AND DISINFECTING RECOMMENDATIONS The following recommendations are not designed to replace existing cleaning protocols for your hospital drawn up by the Hygiene Officer or by other bodies. - Page 46 USER MANUAL 6.3.3 AREAS TO TREAT ACCORDING TO CLEANING - DISINFECTING Every day After patient departure or transfer Thorough cleaning (after an infected patient or every two months) 6.3.4 DECONTAMINATION RECORD A decontamination record should be kept for each bed, mentioning: Date (month), ward and room number, bed reference number Cleaning frequency, materials and products used ANY INFECTIOUS EVENTS.
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Page 47: Safety Tips And Precautions
USER MANUAL 7. SAFETY TIPS AND PRECAUTIONS SAFETY TIPS 7.1.1 Brake and steer The brake must be on when the bed is stationary. Try moving the bed to ensure that wheels are locked. Risks and hazards if bed is not properly secured: - patients may fall when trying to get in or out of bed. - Page 48 USER MANUAL Trendelenburg/Reverse Trendelenburg function is unavailable when transporting the bedside cabinet on the bed. Nursing staff must ensure that the physiological state of the patient is compatible with these movements. 7.1.4 Integral siderails The siderails should be raised and locked when the patient is left unattended, thus reducing the risk of accidental falls.
- Page 49 USER MANUAL Certain national health authorities have issued guidelines on how to reduce these hazards. - It is recommended that a patient reception procedure be established to enable profiles of patients at particular risk to be identified and appropriate measures adapted to the health and the behaviour of these patients to be implemented.
- Page 50 USER MANUAL Use accessory AD113A when an abdominal belt is being used singly or with ankle restraints Lower the foot end siderails to their half-raised position when the risk of the patient slipping between the siderails is significant but does not present serious risks for the patient’s health.
- Page 51 USER MANUAL 7.1.8. Parts and accessories Only use manufacturer’s parts and accessories. Never alter the bed without the manufacturer’s prior consent. Alterations may result in injury to the patient or damage to the bed itself. 7.1.9 Electrical safety precautions The equipotential cable (accessory ref. AC968A) must always be used when the patient is connected to intravascular or intracardiac equipment.
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Page 52: Maintenance
USER MANUAL 7.1.10 Patient Helper Suitably qualified medical personnel must determine whether or not the patient helper can be left at the disposal of patients suffering from particular behavioural conditions (e.g. not limited to but including agitation, mental confusion or loss of sense of direction, behavioural disorders, weakness etc.) in order that the bed be used in the safest conditions. - Page 53 USER MANUAL 7.2.2 PREVENTIVE MAINTENANCE An annual maintenance visit is recommended to keep the bed fully operational and to ensure optimal use. The following points should be given particular attention: - Brake locking system - Siderail locking mechanisms - Drive systems (especially jacks), movement control systems (Head Section, Leg section and Trendelenburg / Reverse Trendelenburg) and their ancillary parts - Bed movement and ancillary part bearings...
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Page 54: Abnormal Use
USER MANUAL 7.3. ABNORMAL USE Abnormal use may result in damage to the bed and injury to patients or staff. Examples of abnormal use: - Use of the bed for any purpose other than for general or intensive care - Use of the bed in a hyperbaric chamber - Use by any person who has not read the User Manual or has not been briefed by an authorised person - Use of functions, accessories or bed movement by a child... -
Page 55: Transport And Storage
USER MANUAL 7.4. TRANSPORT AND STORAGE A number of essential safety precautions must be taken when transporting the bed and its accessories to another location. During transport, the bed must: - Be in the "low" position - Have all functions locked out - Be covered, with all moving parts secured and maintained by straps - Be damp-proofed - Be kept at a temperature of between 0°... -
Page 56: Specifications
USER MANUAL 8. SPECIFICATIONS Hill-Rom has an ongoing product improvement policy. Specifications are therefore liable to be altered without notice. 8.1. STANDARD FEATURES 8.1.1 Bed model specifications Type ................ EVOLUTION Reference ..............LI156Ex Class according to IEC 60601-1 ....... Type B Protection against harmful ingress of water (according to IEC 60529) ........ -
Page 57: Dimensions
USER MANUAL 8.2 DIMENSIONS Bedframe without Frame with extension extension (fully extended) Maximum dimensions 1040 x 2180 1040 x 2360 (Width x Length) in mm. Single band Complete Double band Ø 150 Ø 150 Ø 150 castors castors castors Minimum height 452 * 448 * 440 *... -
Page 58: Warranty And After Sales Service
USER MANUAL 9. WARRANTY AND AFTER SALES SERVICE Warranties for our beds will be rendered null and void, in part or in total, in the event of: - Unauthorised interference with or incorrect maintenance of: . Actuators . Electrical drives and components . -
Page 59: Standards Compliance
USER MANUAL 10. STANDARDS COMPLIANCE NF MEDICAL "Hospital beds" compliant Authorisation no.178-01/01. Complies with French standards: • NF-S-90-312 (1984) • EN-60601-1 (1996) • EN-60601-1-2 (2001) • EN-60601-2-38 (1999) • IEC-60601-2-38 Amendment 1 (1999). Complies with essential requirements of CE directive 93/42/CEE applicable to class I medical equipment. - Page 60 USER MANUAL Notes : Evolution™ Electric Bed LI156Ex QD1532A(2)
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